HomeMy WebLinkAbout1000-118.-3-3.1 TOWN OF SOUTHOLD
Buttal Permit
0538
Owner Nicholas Cutaia & Erika Niwa
Occupied as Single Family Dwelling
Located at 7500 Nassau Point Rd Cutchogue 118-3-3
Maximum Permitted Occupancy 6
Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of
the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is
two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection.
7/5/2022
Cade n rc e t Official
This Notice must be posted by the main entrance at all times
i
631
Telephone
Town Hall Annex a ( )765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 "
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3D
BUILDING DEPARTMENT
TOWN OF SOUTHOLD J U 2022
RENTAL PERMIT APPLICATION PT-TILDING DEff.
�*m"v -i P"m I �"F�•V J`d n W.J P'!. .u�,+ISI,._
Rental Permit Fee$200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address: 2560 A1#k0_h,,'c4 4), I� �3�
1
Map - 3 -LOT,
Tax Ma Number: 1000 SECTION � � � -BLOCK
SECTION B.
OWNER INFORMATION:
Property Owner Name: 1V f I -4'
Property Owner Legal Address: Property Owner Mailing Address:
-k.
10"'i i l
Telephone Number (s): Daytime r Evening Emergency...... _
Property Owner Email Address: L
Page 1 of S
Telephone Town Hall Annex hone 631 P ( )765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
enu
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent: '
Telephone Number (s): Daytime Evenin Emergency
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property:
For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier (for example,
Unit 1, Unit 2, Unit 3 or Apt A, B, C); the use of each room in the Rental Dwelling Unit
(for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each
room.
For properties with multiple Rental Dwelling Units use "Rental Permit Application
Addendum."
n
Rental Dwelling Unit Identifier:
Requested Maximum number of persons allowed to occ py Dwelling Unit:
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit: �c �Iq a' ?
Lx uI rcr�rK - # ►7' ' � l
�1�IM "'
MA/
Page 3 of 5
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10
��, Telephone 631 765-1802
Town Hall Annex I P ( )
54375 Main Road ry Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
SECTION G.
INSPECTION:
Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety
inspection by Code Enforcement Official is required. If the owner chooses not to have said
inspection performed by the Town, a certification from a licensed architect, a licensed
professional engineer or a home inspector who has a valid New York State Uniform Fire
Prevention Building Code Certification is required stating that the property which is the subject
of the rental permit application is in compliance with all of the provisions of the code of the
Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and
by the laws adopted by the New York State Fire Prevention and Building Code Council.
❑ I am requesting a fire safety inspection to be performed by a Code Enforcement Official
fr m the.Town of Southold
I m the
a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
"i � . certify under penalty of perjury, the following:
1. 1 am the owner of the property identified in "Section A" of this application.
2. The property owner's legal address set forth in "Section B" of this application is my legal
address and I understand the Town will use the address for service pursuant to all
Page 4 of 5
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Town Hall Annex Telephone(631)765-1802
54375 Main Road w Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 `kr"s
�Q
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
applicable laws and rules. I further acknowledge that I will notify the Town of Southold
Building Department of any changes of address within five (5) days of any changes
thereto.
3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and
agreed to abide by the same.
4. 1 will notify the Town within five (5) business days as to any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
Property Owner's Name:
Property Owners Signature:
Sworn to before me this day of 20 4,L
a )
Official Notary Public Signature and Original Notary Stamp
CONNIE D.BUNCH
Notary Public,State of New York
No.01BU6185050
Qualified in Suffolk County
commission Expires April 14,2-D-23
Page 5 of 5
May 8, 2022
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 'b
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a license architect, licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
Professional seal reguired for Architect or Enaineer, licensed Florae Ins ector must provide
cggy ovalid current cerci cation
Rental Property SCTM Number:
Rental Property Address: 7500 Nassau Point Rd. Cutcho ue NY° 11935
Owner/Name: Nicholas Cutaia
Rental Dwelling Unit Identifier:
Number &Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 —100 sq., Bedroom #2-90 sq., etc.)
Bedroom #3 260 saft
Bedroom #2 190 saft
Property Description (Include all improvements indicated on survey)
Ejirgle family boil e
I certify that I have done a physical inspection of the subject rental dwelling unit and find that it
fully complies with all the provisions of the Code of the Town of Southold, the Residential Code
of New York State,the Building Code of New York State, the Plumbing Code of New York State,
the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New
York State.
Victor Cornelius III CEO Inspector -
Print Name and Title ceo# 1216-0283 Ail Signatre
Please place professional seal:
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TOWN OF SOUTHOLD BUILDINGIEPT.
631-765-1802
INSPECTION
I FOUNDATION IST ROUGH PLBG.
FOUNDATION 2ND INSULATIOWCAULKING
FRAMING /STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE VIOLATION PRE C/O RENTAL
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DATEtINSPECTO AV
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765-:1802
[ ]
FOUNDATION 1ST [ ] ROUGH PL13G-
FOUNDATION 2ND [ ] INS'ULATIOWCA L I N G
[ ] FRAMING /STRAPPING [ ] ,NAL
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N-Y.
CERTIFICATE OF OCCUPANCY
No: Z-30390 Date: 08' 31 0
7MS CERTIFIES that the building NEW DWELLING
Location of Property: 7500 NASSAU POINT RD COTCHOGUE
(HOUSE NO_) (STREET) (HAMLET)
County Tax Nap No_ 473889 Section 118 Block 3 Lot 3.1
Subdivision Filed Nap No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 27,__2002 pursuant to which
Building permit No. 29027-Z dated DECEMBER 19, 2002.
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is SINGLE FAMILY' LING WITH TWO CAR GARAGE' COVERED FRONT PORCH. & REAR
WOOD DECK AS APPLIED FOR.
The certificate is issued to JOHN F & GAIL L HANLEY
(OWNER)
of the aforesaid building..
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-02-0103 08/23/04
FJA?CTRICAL CERTIFICATE NO. 1158989 05/26/04
PLUMBERS CERTIFICATION DATED 07/09/04 BERTSAND PLUMB.&HEATING
t h Mize Signature
Rev. 1/81
Town of Southold Annex m..............__- w .._.�....�.�., ................_...__....7/22/2013..........__. ........_...
P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36411 Date: 7/22/2013
THIS CERTIFIES that the budding RESIDENTIAL ADDITION
Location of Property: 7500 Nassau Point Rd,Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 118.-3-3.1
Subdivision: Filed Map No. Lot No.
conforms substantia to the Application for Building Permit heretofore filed in this ofiiced dated
................... ............._
�' PP �g ed
1/17/2013 pursuant to which Building Permit No. 37764 dated 1/18/2013
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
d k and"" s built""trellis addition to qu existing pug farnil Lqll
ing,as alrp ed for.
The certificate is issued to Hanley,Gail
... _,w...._........, .m.�...._....... (OWNER) ........_._.......... �......
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
or ' Si Lure
Town of Southold 1/11/2016
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE F OCCUPANCY
No: 38031 Date: 1/11/2016
THIS CERTIFIES that the budding IN GROUND POOL
.Location of Property: 7500 Nassau Point Rd,Cutchogue
SCTM#: 473889 Sec/Block/Lot: 118.-3-3.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/23/2015 pursdant to which Budding Permit.No. 39722 dated 4/30/2015
was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
ACCESSORY IN-GROUND SWUVIMING POOL FENCED TO CODE PER Z13A DECISION#6835 DATE
04/02/2015 AS APPLIED FOR.
The certificate is issued to Stagg,Gerald
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39722 07-21-2015
PLIERS CERTMCATION DATED
pori ,,d SigqAture
,x
� ftClk�y Town of Southold 9/30/2021
P.O.Box 1179
` 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF 01CCUPANCY
No: 42381 Date: 9/30/2021
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 7500 Nassau Point Rd,Cutchogue
SCTM#: 473889 Sec/Block/Lot: 118.-3-3.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/17/2021 pursuant to which Building Permit No. 46797 dated 9/9/2021
was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
as-built mini split air conditios'n nits to existing sirsIe fam l dwe line as a lied for.
The certificate is issued to Stagg GL Rev Trt
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46797 9/16/2021
PLUMBERS CERTIFICATION DATED
Au l�0r µ Signature
4EFd Town of Southold 4/20/2022
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43001 Date: 4/20/2022
THIS CERTIFIES that the building ALTERATION
Location of Property: 7500 Nassau Point Rd.,Cutchogue
SCTM#: 473889 Sec/Block/Lot: 118.-3-3.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/5/2021 pursuant to which Building Permit No. 47159 dated 11/30/2021
was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
fi iished basement recreation room and bathroom to exiat n sin le famil dwellin as a lied for.
The certificate is issued to Zip Zap 1 LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47159 4/19/2022
PLUMBERS CERTIFICATION DATED 3/3/2022 Robert Demonte
—'f AutlroriZetl Signature